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Free Preschool GSRP Interest Form
New School Year:2024-2025
Please note: After filling-out the GSRP Interest form , be sure to schedule appointment to enroll your child.
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* Indicates required question
Email
*
Your email
Today's Date:
*
MM
/
DD
/
YYYY
Child's Date of Birth (must be turning 4 before September 1 or December 1, 2023
*
MM
/
DD
/
YYYY
Will your child be 4 years old before September 1st & December 1st for the 2024-2025 school year?
*
Yes
No
Other:
Sex:
*
Female
Male
Prefer not to say
Other:
Child's Name:
*
Your answer
Child's Address/ City & Zip Code
*
Your answer
Phone Number:
*
Your answer
Alternate Phone Number:
Your answer
Email address
*
Your answer
Parent/Guardian's Name:
*
Your answer
Parent/Guardian's Name:
Your answer
Number of ALL (self, children, and other adults) household members for which you are financially responsible:
*
Your answer
Frequency of Pay:
*
Weekly
Bi-Weekly
2 Times per Month (for example, the 15th and last day of the month)
Monthly
No Income
Gross Income (before taxes) :
*
Your answer
DOCUMENTS THAT ARE NEEDED
PARENT ID/ DL OR STATE ID
CHILD'S BIRTH CERTIFICATE OR PROOF OF BIRTH
UPDATED SHOT RECORDS
HEALTH APPRAISAL OR PHYSICAL (IF YOU DON'T HAVE IT, PLEASE REQUEST A HEALTH APPRAISAL FORM VIA EMAIL. THANK YOU!
TWO MOST RECENT PAY STUBS
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